In the case of a 5-year CIA, which of the following statements is TRUE?

In the context of a 5-year Corporate Integrity Agreement (CIA), the correct response is that none of the statements provided are true.

When a CIA is established, it typically embodies certain obligations that the organization must fulfill to ensure compliance with healthcare regulations. One common misconception is that costs associated with meeting the CIA requirements can be included in the cost report, which is not accurate. The regulations generally stipulate that expenses tied to compliance efforts are not typically reimbursable costs, and therefore cannot be included in cost reports for government reimbursement.

Additionally, the assertion that the Compliance Program is voluntary since no crimes were committed is misleading. A CIA is typically the result of a settlement agreement following the detection of compliance violations or concerns, and adhering to its conditions is mandatory, not optional.

Furthermore, the government does not cover the costs of external auditors chosen by the hospital. The responsibility for hiring and funding external auditors to oversee compliance with the CIA falls on the healthcare organization itself, as it is part of their obligation to ensure transparency and adherence to the compliance standards set forth in the agreement.

Given these points, it is accurate to affirm that none of the statements regarding a 5-year CIA hold true.